Male and female condoms

Male and female condoms are barrier methods of contraception. They stop sperm meeting an egg.

A male condom fits over a man's erect penis and is made of very thin latex (rubber) or polyurethane (plastic).

A female condom is made of very thin polyurethane. It is put into the vagina and loosely lines it. Femidom is the only female condom available in the UK.

How effective are condoms?

How effective any contraceptive is depends on how old you are, how often you have sex and whether you follow the instructions.

If 100 sexually active women don't use any contraception, 80 to 90 will become pregnant in a year.

Male condom - If used according to instructions it is 98 per cent effective. This means that two women in 100 will get pregnant in a year.

If it is not used according to instructions, more women will become pregnant.

Female condom - If used according to instructions it is 95 per cent effective. This means that five women in 100 will get pregnant in a year.

If it is not used according to instructions, more women will become pregnant.

Some novelty condoms are designed purely for fun and should not be used for contraception. It will say so on the packet, so check before you use them.  

Can anything make condoms less effective?

Sperm can get into the vagina during sex, even if you use a condom. This may happen if:

• the penis touches the area around the vagina before a condom is put on (pre-ejaculation fluid, which leaks out of the penis before ejaculation, may contain sperm)
• the condom splits
• the male condom slips off
• the female condom gets pushed too far into the vagina
• the man's penis enters the vagina outside the female condom by mistake
• the condom gets damaged, for example by sharp fingernails or jewellery
• you use oil-based products (such as baby lotions) with latex condoms. These damage the condoms.

Where can I get condoms?

Male and are free from “We For Civil Equality” NGO. You can get it during outreach work or projects activities, events, meetings.

You can buy them from a pharmacy or by mail order as well as from vending machines, supermarkets, garages and other shops. They are available in different shapes and sizes.

Female condoms are not as widely available as male condoms.  

What are the advantages of condoms?

 You only need to use them when you have sex.

• They help to protect both partners from some sexually transmitted infections, including HIV.
• There are no medical side-effects from using condoms.
• Male condoms come in a variety of types, shapes and sizes to suit everyone.
• Male condoms are easily available.
• A female condom can be put in any time before sex.

What are the disadvantages of condoms? 

• Putting them on can interrupt sex.
• A male condom can sometimes slip off or split.
• Some people are sensitive to the chemicals in latex condoms, though this is rare.
• When using a male condom, the man has to pull out after he has ejaculated, and before the penis goes soft, holding the condom firmly in place.
• When using a female condom, you need to make sure the man's penis enters the condom and not between the condom and the vagina and that the open end of the condom stays outside the vagina.

Can anyone use condoms?

Yes, male and female condoms are suitable for most people.

Some men and women are sensitive to the chemicals in latex male condoms. If this is a problem you can use polyurethane condoms.

Men who do not always keep their erection during sex may find it difficult to use a male condom.

Female condoms may not be suitable for women who do not feel comfortable touching their genital area.

The male condom or the female condom?

You and your partner can choose the condom which suits you best. You could try each of them before making up your mind. You may decide sometimes to use a male condom and other times a female condom.

Do I need to use spermicide?

No. If used correctly, condoms are an effective method of contraception and you do not need additional spermicide.

Some male condoms are lubricated with spermicide, a chemical that kills sperm.

These types of condom are being phased out as research has shown that the spermicide Nonoxinol 9 does not protect against sexually transmitted infections such as chlamydia and HIV and may even increase the risk of infection. If you can, avoid using spermicidally lubricated condoms and don’t use additional spermicide as a lubricant.

What about other lubricants?

Condoms come ready lubricated to make them easier to use. Some people also like to use additional lubrication. Any lubricant can be used with male or female polyurethane condoms. If you are using a male latex condom, you should never use oil-based products (such as body oils, creams, lotions or petroleum jelly) as a lubricant. This is because they can damage the latex and make the condom more likely to split. Some ointments can also damage latex. If you are using medication in the genital area (for example, creams, pessaries or suppositories) ask your doctor, nurse or pharmacist if it will affect latex condoms. You are advised to use extra lubricant when using condoms for anal sex.

How do I use a male condom?

You will find instructions on the condom packet or in a leaflet inside the pack. You can also ask your doctor, nurse or pharmacist.

Use a new condom each time you have sex. Check the 'use by' date on the packet.

Be careful how you take the condom out of the packet – sharp fingernails and jewellery can tear the condom.

• Find the teat or closed end and squeeze it to get rid of air. This will also help you roll the condom on the right way round. 
• Put the condom on when the penis is fully erect and before it touches the vagina or genital area.
• Still holding the end, roll the condom all the way down the penis. If it won't roll down then it's probably on inside out. If so, start again with a new condom as sperm could now be on the first one.
• As soon as the man has ejaculated, and before the penis goes soft, hold the condom firmly in place while pulling out. Do this slowly and carefully so you do not spill any semen.
• Take off the condom, wrap it and put it in a bin. Do not put it down the toilet. Make sure the man's penis does not touch the genital area again, and if you have sex again, use a new condom.

How do I use a female condom?

The packet contains a leaflet giving instructions.

Use a new condom every time you have sex. Check the 'use by' date on the packet.

You can put the condom in any time before sex but always before the penis touches the vagina or genital area. You can put the condom in when you are lying down, squatting or with one leg on a chair. Find the position that suits you best.

Be careful how you take the condom out of the packet – sharp fingernails and jewellery can tear the condom.

• Hold the closed end of the condom and squeeze the inner ring between your thumb and middle finger. Keeping your index finger on the inner ring helps you to insert the condom into the vagina.
• With your other hand, separate the folds of skin (labia) around your vagina.
• Then put the squeezed ring into the vagina and push it up as far as you can.
• Now put your index or middle finger, or both, inside the open end of the condom, until you can feel the inner ring.
• Then push the inner ring as far back into the vagina as it will go. It will then be lying just above your pubic bone. (You can feel your pubic bone by inserting your index or middle finger into your vagina and curving it forward slightly.)
• Make sure that the outer ring lies close against the area outside your vagina (vulva).
• It is a good idea for the woman or man to guide the man's penis into the condom to make sure it does not enter the vagina outside the condom. Holding the outer ring in place, outside the vagina, also helps to stop the entire condom being accidentally pushed right into the vagina. As the female condom is loose-fitting, it will move during sex. But you will still be protected as long as the penis stays inside the condom.
• To remove the condom, simply twist the outer ring to keep the semen inside. Then pull the condom out gently.
• Wrap the condom and put in a bin. Do not put it down the toilet. Make sure the man's penis does not touch the genital area again, and if you have sex again, use a new condom.

Where should I keep condoms?

Always keep packets of condoms and individual condoms where they cannot be damaged by strong heat, sharp objects, light or damp.

Sexually transmitted infections

Most methods of contraception do not protect you from sexually transmitted infections.

Male and female condoms, when used correctly and consistently, can help protect against sexually transmitted infections. Diaphragms and caps may also protect against some sexually transmitted infections. If you can, avoid using condoms containing Nonoxinol 9 (spermicidally lubricated), as this does not protect against HIV and may even increase the risk of infection.

What are water-based lubricants?

Water-based lubricants are products that can make the surface wet and slippery for sex and reduce friction and possible irritation. Water-based lubricants are largely made up of de-ionized water into which glycerin, polymers and antibacterial agents are added. Water-based lubricants are highly recommended for use with condoms as they are non-irritating, user-friendly and easy to clean up. There are some water-based lubricants are available in the market such as KY Jelly, Number One Plus, Number One Plus water-based lubricant has recently been launched in Vietnam. It is specially designed to meet your needs. The pack contains 2 condoms plus 2 lubricants to increase safer sex options available to you.

Why are they different from oil-based lubricants?

Cosmetics or food products such as skin creams, Vaseline, massage oil, baby oil, hair gel, or cream are considered oil-based lubricants. Oil-based lubricants are unsafe to use with condoms as they weaken the latex and may cause condoms to break or tear during sex. Oil-based lubricants do not provide any protection from STIs or HIV when used during sex.

The only lubricant you should use with latex condoms is water-based lubricants such as KY Jelly or Number One Plus (+).

Benefits of using water-based lubricants

• Helps make sex more comfortable, especially for vaginal penetration
• Provides additional lubrication to enhance sensations during sex
• Reduces pain during sex caused by insufficient natural lubrication
• Makes sex safer by reducing likelihood of condom breakage and increases correct use of condoms
• Reduces tissue damage and tearing caused to the genitals
• Increase the sensations and pleasure if sex lasts for a long time
• Prevent dryness & scratchiness in the vagina
• In case of having a high number of sex partners during the same day

Myths & misconceptions around lubricants

- Lubricants such as baby oil, lotions, hand-creams etc. can be used with condoms

FALSE. Condoms are made of latex and oil-based condoms (such as cosmetic or food products) can weaken the latex and result in tears or break in the condom. Water-based lubricants, such as Number One Plus, are safe to use with condoms.

- There is no need to use condoms if lubricants are used during sex

FALSE. Lubricants by themselves do not provide any protection against any sexually transmitted infections, including HIV. It is important to use condoms with lubricants for all sex acts.

- Lubricants, when used with condoms, are effective in HIV prevention

TRUE. Using condoms correctly and consistently i.e. with every sex acts with all partners can help reduce risk of HIV prevention. All condoms are lubricants. However, use of additional lubricant such as Number One Plus can help improve correct condom use.

- Lubricants are a luxury product and can only be used sometimes or with ‘special’ partners

FALSE. Number One Plus is an affordable product that is specially designed for you. The number pack contains 2 condoms plus 2 lubricants that should be used together – 1 sachet per condom. Number One Plus is easy to use and convenient. Just like condoms, lubricants can and should be used with all partners.

- Lubricants are difficult to use

FALSE. You can follow the simple instructions provided in this leaflet to use lubricants correctly with condoms. Lubricants are be used by both partners to increase sensations during sex. Water-based lubricants such as Number One Plus are also easy to clean up as they can be simply rinsed with water and are non-staining.

- Lubricant has bad smell and can cause allergy or disease

FALSE Number One Plus is natural fruit flavors, it is water base product so it is very easy to clean up which cause no allergy or any disease to human body.

- Women don’t need to use lubricant if they are excited during sex

FALSE. Water-based lubricants such as Number One Plus can be used by men and women. They are not only used by men. Use of water-based lubricants such as Number One Plus increases overall lubrication. One of the main causes of condom breakage is insufficient lubrication. Lubricants improve condom use and hence reduce risk of HIV transmission.

- Only old women use lubricant

FALSE Water-based lubricant can be used by any women who want to enhance sexual excitement and can reduce dryness if you have a long intercourse.

General risk reduction strategies

You can reduce your risk of HIV by developing your own risk reduction plan using the following strategy:

• Correct and consistent use of condoms: Using condoms correctly and consistently with every sex act and will all types of sexual partners reduces your risk of HIV infection. Condoms should be used from the beginning (i.e. before penetration) till the end of the sex act. Use a new condom every time.
• Knowing your HIV status: You can visit a Chan Troi Moi voluntary counseling and HIV testing centre to know your HIV status. Friendly & sympathetic counselors will provide professional counseling to help you understand issues related to HIV, behaviors that may put you and risk and will help you develop your own HIV prevention strategy.

Early treatment of STIs: It is important for you to access medical care if you are suffering from any symptoms of sexually transmitted infections.